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NOTICE OF LIEN O~EQK C~RCUIT QOIM f
QECORO YERtF1E0
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STATE OF FLORIDA
2C3'7l6
COUNTY OF ST. LUCIE
NOTICE is hereby qiven that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Nineteen Hundred Ten and 52/100
1910.52 Dollars against any real or personal property or
~
interest therein presently held or after acquired by
(Name of _
Carlton Page o€ 417 N. 9th St., Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie.County for the care, hospital- ~
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:. ~ -
Hospital: Fort Pierce Memorial
Date Admitted: 10/13/70
Date Discharged: 11/18/70
Number of Days: 36 at $ 53.07 per day= $ 1910.52
• Less credits None
E Amount of Lien 1910.52
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~ DATED at Fort Pierce, Florida, this o2S day of
~ January ~ lg 71.
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~ (S gnature)
~ ~ ~ County Attorney -
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~ SWORN to and subscribed before me
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~ this day af , 19~[.
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Ti11i 1}lsTRUMEtiT 1NA~S P~tEPAP.E~ DY
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~ ":•~'T~~~~E~~~ ` R/ILPH B. WIL50N. 5T. l.U~IE COUNTY r
~ -q -:•,+e~~~~1!•~~i~ GOURTHOUSE. FT. P{ERGE. FLORIDA ~
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